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以十二指肠溃疡和胃出口梗阻为表现的过敏性紫癜。

Henoch Schönlein purpura presenting as duodenal ulcer and gastric outlet obstruction.

作者信息

Rathore Mukesh, Shrivastava Rimjhim, Goyal Ravinder, Radotra B D, Thapa B R

机构信息

Division of Pediatric Gastroenterology, Superspeciality of Gastroenterology, Post-Graduate Institute of Medical Education & Research, Chandigarh, 160012, India.

出版信息

Indian J Pediatr. 2014 Feb;81(2):189-90. doi: 10.1007/s12098-013-1010-2. Epub 2013 Apr 7.

DOI:10.1007/s12098-013-1010-2
PMID:23564516
Abstract

Henoch-Schönlein purpura (HSP) is an acute small vessel leucocytoclastic vasculitis. It is the commonest vasculitis in children, with an incidence of about 10 cases per 100, 000 a year. Gastrointestinal manifestations are commonly encountered, however hematemesis and gastric outlet obstruction are rarely reported. The authors present the case of a 5-y-old boy having hematemesis, gastric outlet obstruction and multiple duodenal ulcers. He improved with steroids and conservative management.

摘要

过敏性紫癜(HSP)是一种急性小血管白细胞破碎性血管炎。它是儿童中最常见的血管炎,年发病率约为每10万人中有10例。胃肠道表现很常见,然而,呕血和胃出口梗阻很少被报道。作者报告了一例5岁男孩出现呕血、胃出口梗阻和多处十二指肠溃疡的病例。他通过类固醇和保守治疗后病情好转。

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Indian J Pediatr. 2014 Feb;81(2):189-90. doi: 10.1007/s12098-013-1010-2. Epub 2013 Apr 7.
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本文引用的文献

1
Early prednisone therapy in Henoch-Schönlein purpura: a randomized, double-blind, placebo-controlled trial.过敏性紫癜的早期泼尼松治疗:一项随机、双盲、安慰剂对照试验
J Pediatr. 2006 Aug;149(2):241-7. doi: 10.1016/j.jpeds.2006.03.024.
2
Henoch Schonlein purpura in childhood: epidemiological and clinical analysis of 150 cases over a 5-year period and review of literature.儿童过敏性紫癜:5年期间150例病例的流行病学及临床分析并文献复习
Semin Arthritis Rheum. 2005 Dec;35(3):143-53. doi: 10.1016/j.semarthrit.2005.08.007.
3
EULAR/PReS endorsed consensus criteria for the classification of childhood vasculitides.
欧洲抗风湿病联盟/儿科风湿病学会认可的儿童血管炎分类共识标准。
Ann Rheum Dis. 2006 Jul;65(7):936-41. doi: 10.1136/ard.2005.046300. Epub 2005 Dec 1.
4
Gastrointestinal manifestations and complications of Henoch-Schönlein purpura.过敏性紫癜的胃肠道表现及并发症
Chang Gung Med J. 2004 Mar;27(3):175-81.
5
GI involvement in Henoch-Schönlein purpura.过敏性紫癜的胃肠道受累情况。
Gastrointest Endosc. 2002 Dec;56(6):920-3. doi: 10.1067/mge.2002.129592.
6
Henoch-Schönlein purpura in children. Report of 100 patients and review of the literature.儿童过敏性紫癜。100例病例报告及文献复习
Medicine (Baltimore). 1999 Nov;78(6):395-409. doi: 10.1097/00005792-199911000-00005.
7
Endoscopic findings in pediatric patients with Henoch-Schonlein purpura and gastrointestinal symptoms.患有过敏性紫癜且有胃肠道症状的儿科患者的内镜检查结果。
J Pediatr Gastroenterol Nutr. 1987 Sep-Oct;6(5):725-9. doi: 10.1097/00005176-198709000-00012.
8
Colonic lesions associated with Henoch-Schonlein purpura.与过敏性紫癜相关的结肠病变
Am J Gastroenterol. 1990 Sep;85(9):1186-8.
9
The American College of Rheumatology 1990 criteria for the classification of Henoch-Schönlein purpura.美国风湿病学会1990年亨诺-许兰紫癜分类标准。
Arthritis Rheum. 1990 Aug;33(8):1114-21. doi: 10.1002/art.1780330809.